22-10282

IBM Skillsbuild Training Program Intake Application

Agency
VA
Revision
September 2023
Fillable fields
34
Pages
2
Official source
VA form page
Checked
October 20, 2026
Fill 22-10282 online
Page 1 of form 22-10282

VA Form 22-10282: IBM Skillsbuild Training Program Intake Application

VA Form 22-10282 is the U.S. Department of Veterans Affairs IBM Skillsbuild Training Program Intake Application. VA's form page says to use it to apply for the IBM SkillsBuild program, which provides free online services to help start or advance a career in technology.

The form describes SkillsBuild as an IBM-sponsored training program administered by VA. It says VA will provide veterans, service members and their families access to no-cost, self-paced, virtual training and credentials in Cybersecurity and Data Analytics.

The PDF is two pages. Page 1 explains the program, the intake criteria and where to send the application. Page 2 holds the application in Parts I to III and a certification checkbox. VA's page says you can also apply online. You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of VA Form 22-10282: IBM Skillsbuild Training Program Intake Application, as printed by VA

What's on VA Form 22-10282

Page 1: program information

What the IBM SkillsBuild program is, the intake eligibility criteria, the registration requirement, where to send the application, and the Privacy Act and respondent burden notices.

Part I: Applicant information

Items 1 to 8: name, sex of applicant, only the last four digits of the Social Security number, a required email address, mobile and home numbers, the training cohort date and race or ethnicity.

Part II: Military affiliation

Item 9 asks for the military affiliation, and Item 10 asks whether you are currently using or previously used any VA education benefits.

Part III: Program chosen

Item 11 offers Cybersecurity basic or advanced, Data Analytics basics or advanced, or other, and says to check only one. Item 12 covers experience for an advanced course.

Items 13A to 13D: work and education

Whether you are currently employed, whether you work in the high technology industry, your current salary range from five choices and your highest level of education.

Item 14: certification

A checkbox certifying that the information is true and correct and authorizing release of the answers to VA. It cites Section 1001 of Title 18 of the U.S. Code on false statements.

How to apply with VA Form 22-10282

  1. 1

    Read page 1

    It describes the program, the intake criteria and how to send the application. The form says registration is on a first-come, first-served basis.

  2. 2

    Fill in Parts I to III

    Page 2 says the form must be completed in its entirety. The email address in Item 4 is marked required, and Item 3 takes only the last four digits of the Social Security number.

  3. 3

    Pick one program

    Check one training program in Item 11. For an advanced course, describe previous training or experience in Item 12 and check one level.

  4. 4

    Check the certification box

    Item 14 is a checkbox to self attest that the information is true and correct to the best of your knowledge and belief.

  5. 5

    Email it or apply online

    The form says the completed application can be submitted electronically by email to [email protected]. VA's page says you can apply online instead.

Why fill Form 22-10282 on indox

You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.

  • Fill the form right in your browser, no software to install
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  • The official blank straight from the VA, not a copy someone retyped
  • Works on a phone, tablet or computer

Where to send it and getting help

By email

The form lists [email protected] for submitting the completed application electronically.

Online

VA's form page says you can apply online instead of filling out and emailing the paper form.

Phone numbers on the form

The respondent burden notice lists 1-888-GI-BILL-1 (1-800-442-4551) for information on where to send comments or suggestions about the form, and 1-888-829-4833 for the hearing impaired.

Edition

The form is dated SEP 2023. It carries OMB Approved Number 2900-0922, with an expiration date of 09/30/2026 and a respondent burden of 10 minutes.

Who uses VA Form 22-10282?

  • People with GI Bill entitlement

    The form's intake eligibility criteria name a veteran, service member, spouse, children, or caregiver who has previous or current entitlement under the GI Bill program.

  • Veterans and service members

    Item 9 lists Veteran, Active Duty, National Guard, Reservist and Individual Ready Reserve as military affiliations.

  • Family members and caregivers

    Item 9 also lists Spouse, Child and Caregiver as military affiliations an applicant can select.

  • Applicants for an advanced course

    Item 12 asks anyone applying for an advanced course to describe previous training or experience in the subject and check beginner, intermediate or expert.

  • Received by VA

    The form says the completed application can be submitted by email to [email protected], and that registration is on a first-come, first-served basis.

The form lists its intake criteria and the military affiliations an applicant can select.

Official sources and the blank

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Questions about Form 22-10282

What is VA Form 22-10282 used for?

VA's form page says to use it to apply for the IBM SkillsBuild program, which provides free online services to help start or advance a career in technology.

Can I apply online instead?

Yes. VA's form page says you can apply online instead of filling out and emailing the paper form.

Where do I send the paper application?

The form says the completed application can be submitted electronically by email to [email protected].

Which training programs does the form list?

Item 11 lists Cybersecurity basic and advanced, Data Analytics basics and advanced, and an other option to describe. The form says to check only one.

Does the form ask for my full Social Security number?

No. Item 3 asks for only the last four digits of the applicant's Social Security number.

Who does the form say can take part?

The form's intake eligibility criteria name a veteran, service member, spouse, children, or caregiver who has previous or current entitlement under the GI Bill program.